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Print
out the survey (below) then circle the numbers appropriate to the degree
to which you experience the symptoms listed in the 30 questions below.
If you never get them, score ‘0’. If you get them a lot, score high.
A good score is a low score. A poor score is a high score.
For
instance if you get a headache every day score ‘10’.
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Some of the questions have had to be posed in the negative.
For instance if you don't have a low level of fitness (item
13) score '0'. On the other hand, if your fitness level is
low, score higher.
Similarly with blood pressure (item 17). If it's not
elevated, score '0'. If it is elevated, score higher. If
you're on medication score 10.
And similarly with sadness and depression (item 26). If
you're not sad and/or depressed score '0'. If you are sad
and/or depressed score higher. Score '10' if you're on
medication.
The rule is; a good score, the score of a fit and healthy
person is '0' or close to it.
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When
you've completed the survey and added up your score,
click here to find
out what the score of a normal fit and healthy person is. If you got a
high score, click through to the
Complete Fitness Program in our Fit and Healthy Online website and
start doing the things that fit and healthy people do to keep themselves
fit and healthy.
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Symptom |
None |
Not much |
A fair bit |
A lot |
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|
1. |
Headaches (including migraines) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
2. |
Lack of energy and vitality |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
3. |
Candida - jock itch, thrush, tinea ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
4. |
Poor sleep. (On medication score 10) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
5. |
Snoring &/or sleep apnoea. (On gas mask score 10) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
6. |
Crook back, sore shoulders, RSI ... |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
7. |
Frequent colds, flu, sinus |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
8. |
Reflux |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
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9. |
Overweight - 1 point for every 2Kg |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
10. |
Irritable bowel, constipation, diarrhoea |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
11. |
Asthma |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
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12. |
Low level of aerobic fitness |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
13. |
Chest pain, palpitations |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
14. |
Rashes, itchiness, psoriasis, zits |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
15. |
Mouth ulcers, cold sores |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
16. |
Elevated blood pressure. (On medication score 10) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
17. |
Elevated blood cholesterol (On medication score 10) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
18. |
Elevated blood glucose (On medication score 10) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
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19. |
Shakes, nervous ticks, mannerisms |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
20. |
Grinding teeth |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
21. |
Alcoholic drinks per day (2 pts/drink) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
|
22. |
Smoking. (1 pt/cigarette/day) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
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23. |
Caffeine (1 pt/cup per day) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
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24. |
Anxious about life and/or feel insecure or apprehensive |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
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25. |
Sad or depressed (On medication, score 10) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
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26. |
Are you in the wrong job. (Score high if yes.) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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27. |
Under-appreciated at work |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
|
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28. |
What's your work/life balance like? (Score high it's it
poor) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
|
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29. |
Are you happy with your family life? (If no, score high) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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30. |
Are you happy with your financial status. (If no score
high) |
0 |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
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